Individual
DR. STANLEY CHUNGWAI TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14711 FRYELANDS BLVD SE, SUITE 111, MONROE, WA 98272-2944
(612) 240-5067
Mailing address
14711 FRYELANDS BLVD SE, SUITE 111, MONROE, WA 98272-2944
(612) 240-5067
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60083251
WA
1223G0001X
General Practice Dentistry
D10854
MN
Other
Enumeration date
01/17/2006
Last updated
08/13/2009
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